重度肥胖症患者生活质量与抑郁状况的相关性  

Relationship between Depression and Quality of Life in Patients with Severe Obesity

作　　者：徐园[1] 郭淑丽[1] 马玉芬[1] 许宁[1] 邬薇娜[1] 于健春[1] 康维明[1] 马志强[1] 叶欣[1] XU Yuan;GUO Shuli;MA Yufen;XU Ning;WU Weina;YU Jianchun;KANG Weiming;MA Zhiqiang;YE Xin(Department of General Surgery,PUMC Hospital,CAMS and PUMC,Beijing 100730,China)

机构地区：[1]中国医学科学院北京协和医学院北京协和医院基本外科,北京100730

出　　处：《中国医学科学院学报》2018年第5期625-629,共5页Acta Academiae Medicinae Sinicae

摘　　要：目的调查重度肥胖症拟行减重手术患者的抑郁状况和生活质量,评估两者之间的相关性。方法以2013年1月至2017年12月在北京协和医院基本外科病房择期手术的50例重度肥胖症患者为研究对象,收集患者的一般资料,采用Zung氏抑郁自评量表和SF-36生活质量量表评估患者的抑郁状况和生活质量。结果 50例患者的平均抑郁得分为(44. 85±9. 07)分,其中,无抑郁患者38例(76%);抑郁患者12例(24%),均为轻度抑郁。重度肥胖症患者精神性—情感症状、躯体性障碍、精神运动性障碍和心理障碍维度的平均得分分别为(3. 70±1. 25)、(18. 65±4. 10)、(4. 25±1. 35)和(18. 75±5. 46)分。轻度抑郁组患者的生理职能评分为(95. 83±10. 21)分,明显高于无抑郁组的(68. 42±38. 95)分(F=6. 209,P=0. 011);精力和精神健康评分分别为(46. 67±14. 72)和(57. 33±14. 68)分,明显低于无抑郁组的(65. 79±21. 94)(F=4. 867,P=0. 030)和(75. 16±17. 21)分(F=0. 212,P=0. 032)。相关性分析结果显示,重度肥胖症患者精神性-情感症状评分和躯体性障碍评分间存在显著正相关(r=0. 503,P=0. 015);抑郁得分与患者一般健康状况(r=-0. 430,P=0. 032)、精力(r=-0. 594,P=0. 002)、社会功能(r=-0. 455,P=0. 022)、精神健康(r=-0. 562,P=0. 003)和生活质量总分(r=-0. 439,P=0. 028)呈显著负相关。结论重度肥胖患者的生活质量受抑郁程度影响较大,在临床工作中应加强对重度肥胖患者的心理状况评估,寻找并改善其存在的问题,以提高患者的生活质量。Objective To investigate the depression status and quality of life(QoL)of patients with severe obesity who have undergone bariatric surgery and to evaluate their potential correlation.Methods A total of 50 patients with severe obesity who had undergone elective bariatric surgery in the general surgical ward of Peking Union Medical College from January 2013 to December 2017 were enrolled in this study.The general data were collected.The patient’s depression status and QoL were assessed by the Zung’s Depression Self-Assessment Scale and the SF-36 Quality of Life Scale,respectively.Results The depression score was(44.85±9.07)scores in these 50 patients,including 38 patients(76%)without depression and 12(24%)with mild depression.The scores of the mental-emotional,physical,psychomotor,and psychological barrier dimensions of patients with severe obesity were(3.70±1.25),(18.65±4.10),(4.25±1.35),and(18.75±5.46)scores,respectively.The physiological function score of patients with mild depression was(95.83±10.21)scores,which was significantly higher than those without depression(68.42±38.95)scores(F=6.209,P=0.011).The vitality and mental health scores were(46.67±14.72)and(57.33±14.68)scores in patients with mild depression,which were significantly lower than those[(65.79±21.94)(F=4.867,P=0.030)and(75.16±17.21)scores(F=0.212,P=0.032)]in patients without depression.Correlation analysis showed that the mental-emotional score was positively correlated with physical score in patients with severe obesity(r=0.503,P=0.015),whereas the depression score was negatively correlated with the general health status(r=-0.430,P=0.032),vitality(r=-0.594,P=0.002),social functioning(r=-0.455,P=0.022),mental health(r=-0.562,P=0.003),and QoL score(r=-0.439,P=0.028).Conclusions The QoL is remarkably affected by depression in patients with severe obesity before surgery.Assessment of the mental status of patients with severe obesity may help to identify this problem and thus improve the QoL.

关 键 词：重度肥胖 抑郁 生活质量 护理 

分 类 号：R473.6[医药卫生—护理学]